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weeks of open enrollment. medicare, the yearly open enrollment that is underway right now is six weeks long. the new marketplace was specifically designed for a long open enrollment, 26 weeks. those who enroll by the 15th will be able to access their benefits on day one. i am accountable to this committee and to the american public for getting the fix is in place. we are committing -- committed to getting fixed so that millions of americans can get the financial and health security they have been waiting for. thank you, mr. chairman. >> thank you, you have addressed the principal question i was going to ask, namely that many people think the site should be shut down until it is totally fixed. i am going to ask that question. why keep limping along? why not just shut it down until it is put together the way it should be put together? many have pointed out that your fixes tend to have unintended consequences down the road. some other part of the system going into and after all the other fixes have been made. people ask why that has not happened. we also know that every day
additional benefits in their allcare plan, but despite of the accusations that somehow medicare advantage would cease to exist, we have a stronger and less expensive row graham today than we did. we have a 50% discount for prescription drugs. todays expensive program than we did. now haveof americans no co-pays and coinsurance for preventive care, everything from cancer screenings to immunizations. we have the lowest health care cost increases in decades. insurance market, medicare and medicaid costs are at an all-time lower rate. >> you can go through those points, and for those data sets you are talking about, some of those developments have occurred , but on the flip side, we see millions of americans lose their health care. millions and millions more see health care premiums going up. the price for some of these fixes you are talking about is phenomenally higher than we understood or was represented. isn't it time to go in and look at the areas of the law that are in thefailing? >> marketplace the rates have come than what theower congressional budget office rejected them to be. than
companies and not dollars coming out of the medicare trust fund, that they should not be declared to be government health plans. >> the medicare advantage plan is the same and is governed. >> actually, it is not quite the same, senator. it is a private insurance plan where federal dollars are paid directly out of the trust fund to the medicare trust fund. this is different, these are individuals playing premiums -- paying premiums to the private marketplace. >> may i reserve my time for a second round? >> you may, absolutely. >> thank you, mr. chairman. secretary sibelius, i have read the testimony and listen to it carefully and appreciated your commitment to making the website work. i am concerned, though, that a lot of the testimony and discussion we are having seems to imply that the problem we are dealing with has to deal with outlets on the website. experts are being hired to get the website fixed and then everything will be great. the chairman asked you if it would not be better to hold off until we can get the website fixed. i want to expand the little beyond that. i am con
security. medicare is facing trouble. new problems in medicare bug trend it -- drug benefit. those are headlines from the early part of this decade. major programs that have come below in terms of the social safety net in this country and health care security. while this is an excusable, it is a challenge that has been faced time and time when any program has been unveiled. i find it amazing that those that seek to ascribe blame have spent every waking hour of the last four years working to dismantle, destroy, obstruct, and impede the success of the affordable care act. they are concerned not about its failure, but about its success. what i hope we will focus on is how to succeed. i want to get a sense when those of us on the committee worked to put this together, we were under the assumption that state- controlled by republican legislatures or governors would put a higher premium on the love of state rights than their dislike of the president or some ideological political opposition. which is why we are seeing far better success in states that have established their own marketplac
and medicare together. average. of gdp on gdpill be more than 8.5% of by 2023. in the long-term outlook, it will be more than 11% of gdp. thense spending, shown in third rank of numbers, is on track to be a shrinking share of gdp. all other spending, except social security, medicaid, and defense, will be the same share of gdp in 2023 than it was -- that it was on average in the past 40 years that it is today. the study of gdp masks some sub components. you can see at the chart at the bottom of the page, means tested health care programs, are taking a growing share of gdp. in contrast, nondefense discretionary spending is on track to be a sharply shrinking share of gdp owing to the caps in the budget control act. charts like these not to suggest you should try to repeat the budget configurations of the past, but to help you and others to understand which parts of the federal budget are expanding and which are shrinking. there is no particular reason that outlays for social security and medicaid need to be cut back to their historical average of gdp when a larger fraction of the populatio
, it is insurance companies. guest: i was wondering if betty lou was on medicare. anyone over 65 is not meant to be entering the insurance programs for obamacare. but she did have a point that insurance companies in a lot of cases are the ones that are changing these plans. one thing that the white house is try to emphasize is that even prior to the affordable care act insurance companies were the ones making the also changes to people. a lot of these cancellations or not necessarily directly derived from his health law. i think that is the point, he's really try to hammer it home. host: here's your updated piece in "politico." from today. states divided over complying with obamacare fix. regulators are dressing to president obama's rescue after an attempt to fix a rising wave of canceled policies. tell us more. guest: when president obama announces fixed last week, he kicked the problem . insurance -- to insurance companies and state insurance regulators. what we have seen is state regulators, even if they want to comply with the president's wishes, they might be constrained because they hav
medicare to kill off anybody white over 65. he is on a governing for one class in this country. i will tell you something. i have a daughter that is a nurse and the illegals don't use emergency rooms for minor stuff. i am not arguing with her a major problem. losing our rights and we are losing our benefits because of them. independent caller: caller: this president particular having such a difficult time byause a conspiracy republicans to make sure he had no second term, that his first term was horrible. you have to expect the craziness that is going on. i must say, as far as the health thing and this poor president, anybody ever think about sabotage? we are talking outside contractors. member edward snowden? and they genius people can't get this right? there is something very wrong. somebody needs to look deeper into what is going on at not just throw out a bunch of -- oh, obama's horrible. obama is wonderful. but because certain people do want him to succeed, no matter how great his ideas are, they're going to knock them. it is very sad what is going on in this country. we are supposed t
to be able to go out and do great things like civil rights bills and like medicare and all of the education bills. she was his strength. i am so glad she was there. interests. her own and that was important. and daddy promoted her to. sometimes she would hold back and say, i should be here with you. he would say, you have two degrees from the university of texas, you can do anything. he was a promoter of women. >> bust? two. question or two. those reminiscences are invaluable to historians. what was it that made her do things like that? did she have an eye toward the future? that yound you know are living in an important moment in american history? what if her the presence of mind? >> she was a very disciplined person. i was at the university of texas when the assassination took lace. when i came to the white house she came and said you need to keep a diary. it is a good discipline. they have people in mental institutions to do that. thank you very much. is a discipline. it is a stabilizing thing to write down. i did it in fact, but not in theory. minas -- mine is november 15, studied latin
johnson signed medicare into law in 1965, it was estimated to cost $12 billion per by 1990. -- ectual price chart price tag was much higher. i could go to different dimensions like medicare, medicare is an medicare part b. we're going to look at a level of cost that ultimately is going to create a huge backlash in the country. we're going to have to find ways of reducing the burden on the people by and on our insisting on payments from people with higher incomes or assets and perhaps by raising the medicare eligibility age in the population that is living longer and longer. if you saw the old account today, the petite -- particularly among the elderly. they're totally opposed to anything like this. given the nature of our political system is hard to see anybody today in national office is going to take the lead on this thing in an effective way and make changes we all know we need. there are many programs that seek to change how dark is an hospitals are paid to keep these costs under control. on the theory that there should be a way of rewarding them for quality and efficiency. has be
insurance. they don't have a workplace insurance. they are not medicare eligible. they are not a veteran. they want insurance and often struggle with not only price increases at about 16% a year where the average. but everybody is medically underwritten so that any illness, disease, could block you from the market in the first place or put you in a pool that could skyrocket and lock oust. the protection that is the affordable care act added to the individual market, the last market without consumer protections are the very one that is every worker in a small group plan enjoy or in a work site enjoy. you can't be locked out because of a preexisting condition. you must be offered a policy. nur a risk pool so your own disease profile doesn't determine your rates. that is what is happening with that market. more than 50% of the people are not in their policies for a year. a third are there for only six months. it is a very volatile, very expensive, very unprotected marketplace for way too many folks. i have watched you today and watched you being eviss rated over in the house, calls for your
taxes, forcing people $.5 medicaid, spending trillion on new programs instead of making medicare solvent and encouraging employers to reduce their employees catch three hours. then having the irs fine americans for failing to sign up on a website that does not work. the president promised you can keep your health care, but the ofn cancels millions individual policies. for millions of others, employees are -- employers are dropping insurance programs. the new promise is, if you want health care, go find it. on a website that the administration says will not be working properly until the end of november, that is an unlock him christmas present. two weeks to shop for insurance by december 15 senate you are covered next year when obamacare outlaws your policy. the president put secretary sebelius in charge of this law. i have called on her to resign. ca couldhe internet, r tell you every day how many records elvis was selling, mcdonald's could tell you how many hamburgers were sold. , resident issa -- congressman issa posted notes are you are telling each other how many people are enrolling
for medicare and medicaid services says the agency will release health care enrollment for next week. his is two and a half hours. >> the senate committee on health el cation, labor and pensions will please come to order. about five years ago richard streeter, a 47-year-old truck driver from eugene, oregon was frustrated and worried. as "new york times" columnist nicholas chris-off described in his column this weekend, mr. streeter couldn't find affordable insurance in the market. back in the battle days no insurance would cover him. so he just went without care. after months of ignoring pain, he finally went in for a colonoscopy. but he couldn't afford one. the only way he could get it is from a doctor who agreed to take a half payment now and a half payment later whenever he could afford it. after driving 100 miles he ound out he had advanced colon cancer. his doctor said this, it was heartbreaking to see the pain on his face. he got me very angry with people who insisted obamacare is a train wreck when the real train wreck is what people are experiencing every day because the
. 2013] head of the centers for medicare and medicaid will be on capitol hill to talk about the health care law's implementation. we will have that live at 10:00 a.m. eastern time on c-span. tomorrow, health and human services secretary kathleen sebelius will testify before the senate finance committee. she has said that problems with the health care website will be fixed by the end of this month. >> abc news reporter jonathan careasked about the health enrollment problems. here is some of that exchange. yes as waser is reported widely at the time. the whole point is that cms is processing paper applications, but it bypasses the need to create an account. creating an account is what led to the bulk of the issues in the early days. theially, on the launch of marketplaces on october 1, you are not able to do that by phone. in response to the trouble that thes were having online, unacceptable trouble they were having, we balked up the staffing of the call centers and made it possible for individuals to call and enroll and sign up and bypass the creation of an account, so that could be han
and secure critical programs for our seniors like medicare, social security, programs they paid into and expect to be there, but programs that according to independent actuaries will not have the resources to survive if they are not strengthened. we want to repair america's safety net so we can protect the most vulnerable among us in a fair and caring manner. we want to strengthen our nation a, the greatest in the world, remains strong and independent and free. we want to grow the economy so millions upon millions of our americans that are unemployed or under-employed can get back to work and support their families. so opportunity here and in the weeks to come is to identify the common ground for positive solutions. there may also be an opportunity to achieve consensus and savings on better government policy. imagine the saflingse that might be had if we were serious about identifying real waste in government or fraud with every single american every day. or abuse of systems meant to help. or imagine reforms that contemplated on ending due politictive programs to do nothing to f
. big about when medicare was introduced. i think we have to be patient with that. this is a big question about engaging with providers. i think the kind of comments, the doctors do what you pay them to do. this is going to be a change in focusing on delivering the highest quality care while at the same time providing excellent customer service. that is a different paradigm. i think it is going to be an educational process, a changing of the culture. think about the large hospitals that have multiple product -- private practitioners or inside a university system, where even the university does take into account quality often times in the promotion of an appointment process. it is going to be a big change, and there would be bumps in the road. we changed to reward the bull basin quality outcomes. we have never been charged with doing that. we just want to do as many big volume cases that are cases. that is going to change. one of the things that i am concerned about is when you use volume as a metric for reimbursement, to have a level playing field to define what the quality param
disaster. we may look at it as a time that we got excited we might work out fine the same way medicare part d did. >> is this a defining moment for the president? as you look at the arc oh it was last 50 years and the problems of the presidents based in this country, is it comparable? >> well, i think if you look at specifically obama care as sort of the enter piece for the obama presidency, right, president obama sort of represented a new type of liberalism, or a return to an older type of liberalism that had been jetsoned in the clinton years. that's a big liberalism. it says we can do big things with government and get things done. the problem has been for obama is that he admitted as much in the thursday press conference where he was talking about the website and talking about the troubles that -- that the difficulties of whether that comes with buying insurance. buying insurance is figuring out what's difficult. more so than any republican or commentator could make with a damning critique of his own vision of government, of his own vision for what his presidency was supposed to be like
. secretary kathleen sebelius is here to discuss the affordable care act. just like medicare part d, the launch of the website has not gone well. but the early glitches in this rollout will soon be forgotten, just like medicare part d. a lot of the discussion will focus on the website. this is an important issue. i want to learn what the secretary can tell us about the problems and how they will be fixed. we should keep this issue in perspective. the affordable care act is working. it has been improving the health security of millions of americans for the past three years. because of the affordable care act more than 7 million people on medicare have saved more than $8 billion on their prescription drugs. more than 100 million americans have access to free preventive coverage. they no longer face lifetime limits on their coverage. over 10 million americans have received rebates from insurance companies. finally, this january, the worst abuses of the insurance industry will be halted. never again will a family be denied coverage because their child has a chronic health condition. nev
reform was expansion of medicare to provide prescription jugs to senior citizens. d, it wasedicare part enacted during the book administration ended zero then -- during the bush administration and expanded assistance to the needy, increased marketplace choices. medicare part d has been a huge success and anyone who doubts it should think about the terrific hearing chairman nelson held in the aging committee a few weeks ago where democrats and republicans all made this a point. godsendram has been a to millions of seniors by offering lifesaving medicine and it has cost 30% less than the congressional budget office had addicted. but the medicare ascription drug -- prescription drug program did not start out so high. the first few months of that bedlam.was i went back and looked at the newspapers from that time. i will just describe a few of the headlines. in drug plan upset seniors," read one. "a wasteful disaster." become a blunders monster." about thelines medicare prescription drug program, democrats and republicans now, together, say are a success, the headlines of the program are the
. they were going to drop him after two years. his medicare kicked in. this is what insurance companies are doing. .hey have done it for years your premiums go up with this old plan. this man is trying to make it affordable for us and for everyone. it is going to work. try toce companies sabotage what this man has done. host: thank you for calling in. harry is in pittsburgh, a republican. remarks.wo quick obamacare,this with they have proven themselves to be liars and idiots. call ando make a phone i cannot even get through. my insurance is going to go up if i can get it. liable did yesterday is to throw me right off of insurance. these people are calling in saying i wonderful -- how wonderful it is. he makes nixon look like abraham lincoln and he makes jimmy carter look like a brain surgeon. host: quite a conversation going on on facebook. harold says, too late. this is the biggest mess america has ever been in. wagesays, i make minimum and the government wants me to for a0 seven dollars broken plan. this is craziness. -- $147 for a broken clan. christian says, hindsight is 20- 20. it
medicare. and about that. ideologically they did not like the idea of the federal government. protect thet very about the basic social safety net that had been structured. host: president obama yesterday talking about gridlock -- gridlock in washington. what do you think? 585 881.ns 202, independence and all others, the opinion section of the usa today newspaper, five ways to reduce hyper partisanship. washington has become a place can end ag a squish career -- then they say -- host: larry in hernando, mississippi. democratic caller. caller: i would like to make three points. i just watched the president and agreed with everything he said. my second point is a lot of of people are not free -- remembering what the republican set. even if it is their own ideas. tom price of georgia and mike lee of georgia on tape saying in to shut down.t that is a fact. not bring them up and do not show them on the tape saying it. i am so angry with democrats, i do not know what to do. aboutwhat do you think the idea that gridlock in washington does not reflect the division and our country outside of washing
of the budget committee, would you be in favor of means testing social security and medicare down to $100,000 a year and hope that that saves medicare and social security for another 20 or 30 years? guest: i think it is time to to start the discussion. social security is vital to senior citizens across the country, and it is scheduled to go bankrupt in 20 years. the disability portion is scheduled to run out of money in three years. -- we cannot keep kicking the can down the road. it is time to have a discussion on how to preserve and protect this important program. i hope the discussion can begin because it is very important and we have to protect it. host: what you make of the thatine in "political" frank lucas said it was deadline week this week, that they need to come to a deal on farm legislation. great, if weld be could get it this week. it it is a good goal. we have been talking about this for three years now. we are at the conference committee stage, so that is encourage. there is agreement on most of the portions. there are three main sections they are discussing, and there are q
by private and public players, insurance companies are paying us less, medicare is paying us less. sequestration had an effect on hospitals, the nih funding decreasing has had an effect on our research, so we had to decrease our costs still further. all of this goes into trying to change how health care comes together. not one single thing did it we would not one single payer or program, it is a whole series of things we are doing starting back 5, 6, 7 years ago and -- the changes are so significant in terms of what we're going to pay that we have to now be even more stringent. that is what led to people -- offering people early- retirement. >> did you expect that after you made this announcement that the obama connection was going to be made which more >> absolutely not. one of my biggest concerns was for the people that worked at the cleveland clinic. we are concerned about driving great quality health care and we are looking after our employees, because all of our caregivers -- are really what the clinic is. we are not buildings, we are people. my concern really was about those
savings -- with high deductible policies. reforming medicare to create the right incentives. right now you have a medicare program that pays more for higher-lost operations regardless of outcome rather than incentivizing lower-cost, better outcomes, and preventive care. medicaid, giving states the flexibility to run programs -- i know joe agrees with me on that one. also for situations where you have pre-existing conditions, really empowering the state in high risk health care pools. 35 states have these kinds of pools. i think west virginia probably has one. i think a step-by-step comprehensive approach like that is what we advocate and we have legislation that we are putting forward to do it. >> i guess on that note about state and federal government working together -- >> here is where john and i have total agreement. the 10th amendment to the constitution gives the states rights. i am a defender of that, john is that. it is not democrat or republican. we are the laboratories of experiment. our founding fathers gives that power in the 10th amendment. certain things that states can do ar
republican budget has significant cuts to medicare benefits -- those are the very benefits that provide economic security to millions of middle- class families and has zero dollars of revenues that could be used to invest and the essential pillars of economic growth like education, workforce readiness, science, research and innovation. i believe there are significant savings that can be achieved in our health care system without compromising the quality of care, and in fact, improving the quality of care. and without slashing benefits that seniors have worked so hard for and earned. former secretary-treasurer he paul o'neill has estimated we can save $1 trillion per year without affecting health care outcomes by in acting smart, targeted health care delivery reforms. the institute of medicine estimated the number could be 750 billion dollars. no matter what the exact figure or proposal, these are impressive savings that would strengthen the nation's health- care system without shifting cost and burdens to seniors and states. these have the added benefit of improving quality, -- quality
and medicare and including tax reform. can that happen? i am very pessimistic it can happen but i know that republicans are going to try to work in that direction and i know that congressman ryan is working very closely with patty murray of the senate budget committee to try to get in that direction. it is a tough row to hoe. >> if that's the case, then what? >> then you have sequestration which is the law of the land and republicans are generally satisfied with sequestration. since it is the law of the land, it seems to me like it is as simple as passing a claimcr c.r. through the house and find out the democrats will shut down government or not and is the president willing to sign it or does he want to shut down government and it seems a lesson was learned in october not to shut down government and we move ahead with a policy that was made that is the law of the land, sequestration, which came out of the white house. it's their idea and you don't think they would abandon it. government would move forward on the policies of august 2, 2011. >> we will turn to christina peterson of
? guest: doing well. caller: i hope this is not as bad as medicare part d. medicare part d. i had a good plan through my company. said youeled it and could get the government plan. i said this is a lot worse than what i got. i went to the v.a. every medicine there was higher than i could get any egg box store. store. big box is your plan, replacing the replacing this obamacare. guest: you said you're with the v.a. plan. that is not medicare part d. you are limited to the list of medications you can take. of big-boxd is a lot stores began to offer medications like antibiotics for free or at huge discounts, to get you in the door. you mentioned medicare part d. saw thattary of hhs there were problems and he told drugstores fill the prescription and we will take care of this later. they ran several tests along the way. some people were dual eligible. just fill the prescription and we will take care of that. that was not a lapse that occurred. here we have a huge problem that is not fixed yet. the website may be fixed. what is not going to be fixed are the prices people will be paying. peopl
? and the other part is, i wish that c-span would ask people whether or not they have medicaid, medicare, whether or not -- or if they don't have insurance at all. everybody gets sick or everybody has an accident one way or the other. who pays that? one last comment, when i went to the hospital -- i am sorry, you are breaking up, i have got to let you go. but we are doing here on the "washington journal" a partnership with kaiser health news taking a look at the affordable care act, and we have divided our lines just that way, over the time of our partnership, whether you are insured or not insured to talk about the affordable care act. rufus and adrian, michigan, independent caller. caller: hi, how are you? host: good morning. caller: thank you for the opportunity to speak about the affordable care act and president clinton's comments. i agree with president clinton regarding changes that need to be made to the affordable health care. the reason i agree with him is aat what has happened is that legislation was passed, which is the aca, and was made uniform when wehe united states have each indiv
participation in the medicare expansion will have a significant impact on enrollment. days and the district of columbia are expanding their programs. 24 states are undecided or are not going to expand. the congressional budget office is saying by 2018, 50 million people will enroll. they're expecting 7 million people to enroll in 2014 was a and medicaid, they are projecting 9 million people to enroll next year. the central question on everybody's mind, will consumers enroll? whole will enroll? -- who will enroll? the young and healthy? this is going to be credible -- critical to stabilization over time. to learn what people are experiencing during the first inks, the commonwealth found october, we interviewed a national sample of adults who are potentially eligible for marketplace options or medicaid. people who are uninsured or are purchasing and the insurance market. we found 60% of those adults were aware of the marketplace and october up from one third of the group and a similar survey we conducted in the summertime. adults reported visiting in october of stop the age and how the distri from an i.t. official with the centers for medicare and medicaid sentences -- services. the hearing ran about 2.5 hours. >> good morning. i convened this hearing to talk about americans want to know the answers to two simple questions -- is my information secure if i use, why should i believe the administration that it is the echo it has been nearly 50 years since the launch of, and the website is not function at an acceptable level. this is in spite the numerous problems and assurances the public was given by the administration leading up to and over several months leading up to the launch of the website. this committee heard directly from secretaries to bilious -- lius,ecretary sebei tavener, and cohen that they would be ready by october 1. those projections were not just limited to the website. we've also been routinely promised the website with a thin that americans -- was safe and that americans information was secure. tavener toles testing was to begin in october of last year and testing was to compete -- to be complet
and deputy director of the office of information and services for medicare and medicaid, who has been identified numerous times as the chief person in charge of repairing this website at the cms level was not aware of this document. to me that is what is shocking. when we made aware of this reaching document? -- of this greeting document? >> i think i was aware that some document was being prepared. towards the end when the briefing was occurred i was not a part of them. >> were you aware that mckinsey had been hired to come in and thecally troubleshoot status of the website? >> i don't think they were brought into troubleshoot, i think they were brought in to make an assessment by conducting various interviews with key stakeholders. >> did this group ever talk to you? >> yes. >> so, they did come in and at least visited with you. >> they interviewed me before. >> once, twice, i doesn't? >> at least two times from what i can recall. >> since you have been made --re of the document >> i was not made aware of the document. i was interviewed by the team that put that together. when the d
by millions, spending money on new programs instead of investing in medicare to make it more solvent, and encouraging employers to work to have their employees work 30 hours and set of 40. that is not the values system that i support. we have a different approach, which would say let's encourage competition, let's encourage choices, and let's try to make health care cheaper so people can actually afford it. but that is our fundamental difference. venner, you, ms. ta don't you know with the improvements with a website how many people are trying to sign up every day for obamacare, how many are succeeding, what their level of insurance that they are buying is, don't you actually know that now? information that we are putting together and we will have available next week. >> next week? >> mid november. >> you're going to release it once? why don't you release a daily? >> we have said long before the program went live that we would to its similar to how do medicaid, medicare. >> this is different, these are people making decisions, people who will lose their insurance starting january, th
are in the market want to get insurance. don't have a workplace insurance and they're not medicare eligible and not a veteran. they want insurance, and often truggle with not only price increases at about 16% a year average but everyone is edically underwritten so any illness or disease could block you in the market in the first lace or put you in a pool that could sky rocket and lockout. the protections that the ha that e care act added to the individual market re the very ones that every worker in a small group plan enjoy or in a work site enjoy. locked out because of a preexisting condition. you must be offered the policy. are in a risk pool so your own disease profile doesn't determine your rates. that's really what is happening with that market. of the peep 50% are not in their policies for a year. a third are there for only six months. it is a very volatile and unprotected very marketplace for way too many folks., mr. rockefeller. i have e secretary, watched you today and watched eviscerated over in the house. not for your resignation, your head but your resignation ema
with officials from the health and human services department and the centers for medicaid and medicare services. this hearing on the status of the rollout from the healthcare website is a little more than four hours. >> the committee will come to order. we have two rants. he the money the government takes involuntarily from them is both been. second, americans to serve an efficient government that works for them. is toty on this committee in fact protect these rights. our solemn responsibility is to hold government accountable to taxpayers because they have a money government takes from them is well spent. tirelesslyb to work in partnership with citizen watchdogs to deliver the facts and bring general reform to the bureaucracy. agohree and a half years have partisan vote, they affordability care rocked. it gave them three years to implement, unlimited money, and ensure they neither need to come back to congress ever again. rules.ated their own the 2400 pages were passed into tensnd they now represent of thousands of pages of regulation that were created based on how this administration wanted a
to things like expanded health savings -- with high deductible policies. reforming medicare to create the right incentives. right now you have a medicare program that pays more for higher-lost operations regardless of outcome rather than incentivizing lower-cost, better outcomes, and preventive care. medicaid, giving states the flexibility to run programs -- i know joe agrees with me on that one. you for situations where have pre-existing conditions, really empowering the state in high risk health care pools. 35 states have these kinds of pools. i think west virginia probably has one. i think a step-by-step comprehensive approach like that is what we advocate and we have legislation that we are putting forward to do it. >> i guess on that note about state and federal government working together -- >> here is where john and i have total agreement. the 10th amendment to the constitution gives the states rights. i am a defender of that, john is that. it is not democrat or republican. we are the laboratories of experiment. our founding fathers gives that power in the 10th amendment. certa
now, we have to bring it down to compete. i would point out that most people coming into medicare now have not had a lot of choice, so they are coming out of hmo's and narrower networks, so moving that -- moving medicare to a narrower network, moving medicare to less choice may not be as big a jump as some people would suggest. people say a word about who cannot afford high deductibles. we have to be very careful about -- about pricey sensitivity for war people, for young people. we are bringing in young people, but also low income workers. with that group we have to be very sensitive about whether they will have real access to the health care system if they come in with high deductibles. as the be just as bad current system for them. at is what makes this so complicated. the different kinds of patients and people we are dealing with -- some of them can live in a world of high deductibles, and others we will have to be careful with or we will end up with lots of charity care or the in between. >> i would echo what president shall a lot -- president shalala said. always cost centers, n
experience, the experience of medicare part d. to the extent your timeline plays out and we have a fully functioning website within the next dirty-60 days, is that in time for what we expect to be the majority of people coming in and wanting to access the product? >> let me start with the product. i think that we are extremely pleased with the product. and i think it is important not to lose sight of that. as i said before, we had about 25% new entrants into the market, new issuers offering new plants. we had over 200 issuers and i think) 3000 products. but i will get you that specific information. -- the insurance market wants us to succeed. they see it as a the business. so, we have been pleased with the states in the competition. there have been some exceptions as we talked about before, and we want to stimulate that as time goes on. the second piece -- we have always believed that the first enrollment surge would come mid- december and the second surge would come late february/early march. there would be people who want to sign up by january 1, but there would always be another group
in coverage, she must sign up for a new plan. i hung up this letter last week at a hearing with the medicare administrator responsible for the exchange. her suggestion was that they go to the website. sure enough, they tried. because the white house said the problem was too many people trying to sign up at once, they even set their alarm clock for the middle of the night just so they could log on when there was less traffic. they would rather have that certainty and avoid penalties then more worry and sleepless nights. this is what betrayal looks like. here you have hard-working people who were repeatedly told not to worry, that their coverage would stay the same and , if anything, the costs would go down. just the opposite is happening. adding insult to injury, the white house, the president, is not leveling with us. he is trying to cover his tracks, claiming he never really made these promises. no wonder a member of his own party called this, "a crisis of confidence." sorry president is truly about this, he will take steps to right this wrong. that is why i have authored a w'sl to delay th
of programs like medicare and social security. >> do you think the president can make that case to the republicans? can you make any case to the republican party at this point? >> absolutely. i think we can help and i think we can play an important role. that is not going to be devoid of leadership in the house or senate or the administration or in we are not going to be effective in getting something done unless we convince our leaders we are on the right track. you still have to work through the leadership of the senate, the leadership of the house, and the administration. >> we are human. we are going to make mistakes. all you have to say is, i'm sorry, we were trying to fix things. he wants to fix health care? that is a laudable goal. some people hunker down and want you to fail. i think there's more good and bad and we have to bring that out. i think we can help. we are human. we will make mistakes but we can fix things because we can -- because we are here for the right reasons. >> we have to realize that there is a divide in the country about how we shout -- how we approa
debt, two thirds of the budget is medicare, medicaid, and social security. is and where the money that is where we going to make progress in the future. host: we will go to carl in chicago, illinois on our line for democrats. caller: good morning. you are just saying something about a balance between spending and revenue. i think you have it wrong. this is where the problem is. in 2000, we had a balanced budget. republicans chose to take all of the surplus and have tax cuts. they say that we could have a war. they said it would not cost us a dime. it cost us $1 trillion. then we also had the recession. americans lost three percent of their net worth. we lost gdp. this probably comes to maybe about a couple trillion dollars. this is not about the entitlements. not that they cannot be reforms. our principal problem is because we did not raise the taxes to pay for these things. it is not because we were spending too much. you cannot buy a yacht and take six months off of work. those were not the problems. the problem is that the republicans took money and do not want to acknowledge i
on medicare already received a 50% savings on prescription drugs, and more than 70,000 young adults in new jersey are able to see a doctor because they can stay on their parent's insurance. sadly, though, out of purely selfish political motivation, my republican colleagues are obsessed with making this law fail and are working overtime to take away the benefits millions of people are already enjoying. i challenge my republican colleagues to channel that same energy into making the law work so that millions can get the life-saving care that they deserve. look around your districts. how many of your constituents could benefit to access to life-saving health care, to free cancer screening and reduced prescription drug costs? they don't need a 47th or 48th or 49th vote to repeal the law. they need affordable, quality care that the a.c.a. provides, and they are counting on their leaders to make it work, not work against them to make it fail. i yield back. the speaker pro tempore: the gentleman yields back. the chair recognizes the gentleman from tennessee, mr. duncan, for five minutes. mr. dunc
did that by paper. i cannot remember and i was not around when medicare was rolled out, that was the last time we rolled out anything by paper, but let me give you the results. three members of congress, the mayor of houston, the republican county judge, and the secretary of labor. we had 800 families show up on saturday morning and signed in, of course with multiple attendees per family. nearly 300 people set up follow up appointments after a navigator. he had 88 certified navigators there. we do not know how many applications were completed, because the number is still being tallied by navigators and hhs and our regional office out of dallas. there are people who want to do it. and we have to do it by paper, we will do it. that is the frustration we have. we want us to work because there are millions of people in our country who need this. the majority in house may not understand that, but i know in our just a do. -- in our district, they do. to partnk cms takes the matter -- to heart the matter and everybody is your is about a improving this experience because we kno
medicare to create the right incentives. right now the medicare program pays more for higher priced operations regardless of outcome rather than incentivizing lower- cost outcomes. i know joe agrees with me. also for situations where you have pre-existing conditions am a really empowering the state high risk health care pools. in north dakota we have comprehensive health insurance of north dakota. ofstates have these kind pools. how about the federal government works with those state pools to be more for people with pre- existing conditions? the step-by-step, comprehensive approach like that is what we advocate for. spoke about several health-care proposals being considered on and off the floors of the house and senate. >> today health and human services secretary kathleen sebelius announce a number of people who had had enrolled, and that figure released earlier this afternoon. david dropped her is just -- david drucker is joining us from capitol hill. is it a good or bad thing? we will need millions and millions more americans in the exchanges in order to subsidize expanded covera
from medicare, medicaid, or their own employer. so eight out of 10 americans are not being affected at all by this discussion we're having. the affordable care act and the website is designed to help the 15% of the population that is currently uninsured, and 5% of the population who buys individual insurance policies. that is what this is about. when you hear about glitches in this website and some of the concerns with which providers are on the site and which ones are not, all americans think this is affecting me. eight out of 10 americans see no effect from this. seniors on medicare, the only effect of the affordable care act is to close the donut hole for them and give them free preventative health services. what i see in my hometown in pittsburgh and what i hear from constituents all over is this anxietyexciting -- about what is going on with the website, how it affects them personally. eight out of 10 americans will not be affected by this. the date for a relaunch for what do you think about the deadline? guest: i think the website gets approved every day. the g
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